Healthcare Provider Details

I. General information

NPI: 1164461331
Provider Name (Legal Business Name): MITCHELL DAVID CAHN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 E LINCOLN AVE
SUNNYSIDE WA
98944-2383
US

IV. Provider business mailing address

PO BOX 719
SUNNYSIDE WA
98944-0719
US

V. Phone/Fax

Practice location:
  • Phone: 509-837-6911
  • Fax:
Mailing address:
  • Phone: 509-837-1617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD00040248
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: